Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Iowa for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Iowa only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Iowa (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Roger Ceilley (NPI 1992758122)

Field	Value
Entity Type	Individual
Organization	Roger Ceilley
Address	6000 University Ave
City	West Des Moines
State	IA
ZIP	50266
Taxonomy	Dermatology Physician
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicare	$788.6K
Medicaid	$0

Key Findings

This provider is effectively single‑payer in the claims data: total Medicare revenue is $788.6K and there is no Medicaid billing on file. The absence of any Medicaid activity means analyses of payer diversification, state Medicaid contract exposure, or dual‑payer patient flow will not be possible from claims alone and Medicare payment policy will disproportionately affect this provider's revenue stream.

Nearly half of the provider's Medicare revenue is concentrated in three codes: 17311 ($150K, 19.9%), 88305 ($132.7K, 17.6%), and 99213 ($88.6K, 11.7%), and the top 3 codes account for 49.2% of this provider's total Medicare revenue. This level of concentration signals material dependence on a small set of surgical, pathology, and E/M services; changes in reimbursement or utilization for any of these three codes would materially affect practice income.

The code mix shows a procedural dermatology and surgical focus: presence of Mohs surgery codes 17311 (326 claims, $150K), 17312 (129 claims, $39.9K), and 17313 (37 claims, $16.2K) indicates the practice performs staged excisions for skin cancer. Substantial pathology billing via 88305 (2.6K claims, $132.7K) alongside high biopsy counts (11102, 709 claims, $41.8K) suggests integrated specimen processing or frequent pathology referrals, consistent with a lesion‑focused surgical dermatology practice.

Operational throughput skews procedural and lesion‑destruction heavy: high volumes of destructive lesion codes including 17003 (4.9K claims, $24.5K; labeled notably above typical national volume), 17000 (1K claims, $33.7K; 96th percentile), and 17004 (366 claims, $42.8K; 97th percentile) together with biopsy codes 11102 and 11103 indicate frequent encounters centered on lesion removal and in‑office procedures rather than mainly medical dermatology. These procedure counts imply a workflow and staffing model optimized for short procedures and pathology handling.

Office evaluation and management volume is unusually high: 99213 appears 1.5K times for $88.6K in revenue and the provider ranks as an "extreme outlier" (100th percentile) for this code nationally. This suggests a heavy clinic visit load of established patients that drives a meaningful portion of non‑procedural revenue and may reflect regular follow‑up visits tied to procedural throughput or chronic dermatologic care.

Competitive standing is mixed by code: the provider is a high‑volume participant nationally for several procedural codes (for example, 17003 ranks in the 98th percentile and 11102 in the 97th percentile, both characterized as notably above typical national volume), and 88305 sits at the 91th percentile though described in the data as typical for that code. By contrast, 17311 (Mohs) is at the 64th percentile and described as typical; overall the pattern is that this clinician is a dominant local/high‑volume performer on routine destruction/biopsy codes and E/M visits while being a more modest participant for Mohs by national rank.

Provider tenure is long: the NPI was enumerated on 2006‑05‑18 (~20 years ago), which aligns with an established practice profile and sustained Medicare claim activity over time. That longevity, combined with concentrated procedural revenue and high outpatient visit volumes, supports the interpretation of an established, procedure‑oriented dermatology practice with stable referral and follow‑up patterns.

From a revenue‑risk and contracting perspective, reliance on Medicare ($788.6K) with no Medicaid billing on file and concentrated revenue (top 3 = 49.2%) creates sensitivity to Medicare fee changes, coding edits, or utilization management targeted at high‑use E/M and lesion treatment codes. Payers and network managers should note the operational emphasis on high‑frequency procedural codes and pathology (e.g., 17003, 11102, 88305) when assessing reimbursement, prior‑authorization strategies, or capacity planning for dermatologic surgical services in the market.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	330	$460	$150K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	2,600	$50	$132.7K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,500	$60	$88.6K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	370	$120	$42.8K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	710	$60	$41.8K
17312	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	130	$310	$39.9K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	1,020	$30	$33.7K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	4,890	$10	$24.5K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	340	$70	$23.1K
13121	This is for a complex repair of a wound to the scalp, arms, and/or legs. This wound should be 2.6 to 7.5 cm in size.	80	$240	$19.9K

Showing 1–10 of 42

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Roger Ceilley — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

42 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	11	30	240	$410	$106.2K
88305	12	130	900	$30	$40.5K
17312	12	30	130	$280	$36.8K
13132	7	20	70	$210	$18.3K
17313	8	20	30	$400	$14.5K
99214	1,378	4,690	100	$70	$14.4K
13121	2	20	40	$220	$10.2K
17110	18	200	90	$60	$9.2K
17004	5	90	40	$100	$8.3K
12032	39	70	30	$180	$8.1K

Showing 1–10 of 42

Related Providers

Other providers that share a Tax Identification Number (TIN) with Roger Ceilley, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Buroker	IA	Medical Oncology Physician	$9.4M	$0
Kyle Alliman	IA	Ophthalmology Physician	$8.7M	$0
Alex Kartvelishvili	IA	Ophthalmology Physician	$8.1M	$0
Paul Boeke	IA	Ophthalmology Physician	$7.1M	$0
Austin Strohbehn	IA	Retina Specialist (Ophthalmology) Physician	$5.8M	$0
Jeremy Deutsch	KS	Hematology & Oncology Physician	$5.7M	$0
Robert Behrens	IA	Medical Oncology Physician	$5.2M	$0
Matthew Mcknight	IA	Foot & Ankle Surgery Podiatrist	$4.7M	$23.5K
James Singer	IA	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Christopher Haupert	IA	Retina Specialist (Ophthalmology) Physician	$3.9M	$0

Nearby Providers

Other providers in the same ZIP code as Roger Ceilley, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iowa Physicians Clinic Medical Foundation	IA	General Practice Physician	$0	$102.7M
Link Associates	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$83.3M
Iowa Family Services, Inc	IA	Community/Behavioral Health Agency	$0	$9.9M
Revell-warrington Dental PC	IA	Pediatric Dentistry	$0	$9.2M
Csa	IA	Community/Behavioral Health Agency	$0	$8.8M
City Of West Des Moines	IA	Land Ambulance	$726.2K	$5.1M
Wolfe Surgery Center, LLC	IA	Ambulatory Surgical Clinic/Center	$4.1M	$1.3M
Iowa Home Care, LLC	IA	Home Health Agency	$0	$5.4M
The Iowa Clinic PC	IA	Family Medicine Physician	$0	$5.4M
Divine Touch Of Iowa LLC	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.8M

Roger Ceilley — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References